Comparative evaluation of virtual reality distraction and counter-stimulation on dental anxiety and pain perception in children
Nunna Mahesh, Dasaraju Rupak Kumar, Kamatham Rekhalakshmi, Mallineni Sreekanth Kumar, Nuvvula Sivakumar,
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( Nunna Mahesh ) - Narayana Dental College Department of Paedodontics and Preventive Dentistry
( Dasaraju Rupak Kumar ) - Priyadarshini Dental College and Hospital Department of Paedodontics and Preventive Dentistry
( Kamatham Rekhalakshmi ) - Narayana Dental College Department of Paedodontics and Preventive Dentistry
( Mallineni Sreekanth Kumar ) - Narayana Dental College Department of Paedodontics and Preventive Dentistry
( Nuvvula Sivakumar ) - Narayana Dental College Department of Paedodontics and Preventive Dentistry
Abstract
Background: This study evaluated the efficacy of virtual reality (VR) distraction and counter-stimulation (CS) on dental anxiety and pain perception to local anesthesia in children.
Methods: A prospective, randomized, single-blinded interventional clinical trial with a parallel design was used. Seventy children 7?11 years old who required local anesthesia (LA) for pulp therapy or tooth extraction were recruited and allocated to two groups with equal distribution based on the intervention. Group CS (n = 35) received CS and Group VR (n = 35) received VR distraction with ANTVR glasses. Anxiety levels (using pulse rate) were evaluated before, during, and after administration of local anesthesia, while pain perception was assessed immediately after the injection. Wong-Baker faces pain-rating scale (WBFPS), visual analog scale (VAS), and Venham's clinical anxiety rating scale (VCARS) were used for pain evaluation. Student's t-test was used to test the mean difference between groups, and repeated measures ANOVA was used to test the mean difference of pulse rates.
Results: Significant differences in mean pulse rates were observed in both groups, while children in the VR group had a higher reduction (P < 0.05), and the mean VCARS scores were significant in the VR group (P < 0.05). Mean WBFPS scores showed less pain perception to LA needle prick in the CS group while the same change was observed in the VR group with VAS scores.
Conclusions: VR distraction is better than CS for reducing anxiety to injection in children undergoing extraction and pulpectomy.
키워드
Counter-Stimulation; Dental Anxiety; Distraction; Pain Perception; Virtual Reality
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